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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070212900
Report Date: 08/29/2019
Date Signed: 08/29/2019 05:15:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WOODBRIDGE CHILDREN'S CENTER - JOHN MUIRFACILITY NUMBER:
070212900
ADMINISTRATOR:TONIA JONESFACILITY TYPE:
840
ADDRESS:205 VISTA WAYTELEPHONE:
(925) 229-5767
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:125CENSUS: 60DATE:
08/29/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Brittany BarronTIME COMPLETED:
05:30 PM
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A Case Management inspection was conducted on this date, August 29, 2019 by Licensing Program Manager (LPM) Wynn Norona. LPM met with program director, Brittany Barron.
The center has submitted an application to change from the portable to Room 22 and Room 23 in the same site (John Muir Elementary School). The center is currently approved to use the Multi-Purpose Room and being utilized exclusively when the center needs it. There are 60 school-age children present today with 7 fingerprint cleared staff. A health and safety inspection was conducted inside and outside and the measurements are as follows:

INDOORS: EXEMPT
OUTDOORS: EXEMPT

The center has obtained an approved fire clearance from Contra Costa County Fire Department on 8/14/19 with a condition that states "currently only Room 23 is part of daycare". The center was found to be clean, safe, sanitary and in good repair. Notice of Site Visit form was provided and posted. LPM provided a copy of the appeal rights and the signature on this form acknowledges receipt of these rights. Exit interview was conducted with director, Brittany Barron.

The license will be updated pending clarification of the fire clearance and submission of Superintendent Certification that Room 23 and Multipurpose Room can accommodate 125 School-Age children.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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